Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,368.00 / $7,059.66	Facility		$711.00	$2,368.00	$7,059.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $605.41 / $1,016.04	Professional		$412.89	$605.41	$1,016.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,249.12 / $18,705.46 / $23,008.76	Facility		$16,249.12	$18,705.46	$23,008.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,565.54 / $1,565.54 / $2,142.32	Professional		$1,565.54	$1,565.54	$2,142.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.78 / $1,230.00 / $1,900.00	Facility		$730.78	$1,230.00	$1,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.58 / $1,016.51 / $1,355.35	Professional		$590.58	$1,016.51	$1,355.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.57 / $2,101.12 / $3,506.99	Professional		$1,340.57	$2,101.12	$3,506.99
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.60 / $1,584.31 / $1,785.26	Professional		$1,557.60	$1,584.31	$1,785.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.49 / $1,379.34 / $2,557.17	Professional		$442.49	$1,379.34	$2,557.17